Authors
Logan, Anna-Kaye M. OD, FAAO1; Datta, Ananya BOptom, MPhil, PhD; Skidmore, Kelsea OD, MS, FAAO; Tomiyama, Erin S. OD, MS, FAAO; Hu, Chuan MD, OD; Chandler, Moriah A. OD, FAAO; Procopio, Bryan BS; Bhadane, Minal PhD; Benoit, Julia S. PhD; Ritchey, Eric R. OD, PhD, FAAO; Wolffsohn, James S. BScOptom, MBA, PhD, FAAO; Richdale, Kathryn OD, PhD, FAAO

Randomized Clinical Trial of Near Visual Performance with Digital Devices Using Spherical and Toric Contact Lenses

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Abstract/Introduction

SIGNIFICANCE 

Visual demands today incorporate a significant amount of time using digital devices. Results of this randomized crossover study of spherical and toric contact lenses demonstrated that participants were able to read smaller print size more comfortably and preferred toric contact lenses when using digital devices.

 

PURPOSE 

The purpose of this study was to assess how toric contact lens correction affects subjective and objective outcomes of astigmatic patients using real-world digital devices.

 

METHODS 

Adult participants, aged between 20 and 38 years with −0.75 to −1.50 D of astigmatism were enrolled in this double-masked randomized crossover 10-day study of Alcon Dailies Aqua Comfort Plus Sphere and Toric (Alcon, Geneva, Switzerland) contact lenses. Electronic high- and low-contrast near logMAR visual acuity and contrast sensitivity were tested. Reading performance was assessed using custom iPad applications; one used a reading sentences test, whereas the other analyzed zoom, contrast, and distance with website-based articles. Participants completed the Near Activity Visual Questionnaire and stated their preferred contact lens correction.


Conclusion/Results

RESULTS 

Thirty seven participants were screened, 35 participants were enrolled, and 34 participants completed the study. Toric lens correction improved near high- and low-contrast visual acuity by 0.5 to 1 full line (P < .0001) and allowed participants to read one line smaller text on the iPad (P = .01). Participants increased the zoom 11% (P = .004) and the contrast 4% (P = .006) more with spherical lenses while reading articles. Participants held the iPad at approximately the same distance, about 33 cm (P = .63). Eighty five percent of participants preferred the toric correction (P < .0001). Participants reported

improved satisfaction with toric lens correction (P = .0002) and noticed the most benefit with tasks such as reading small print and labels/instructions.

 

CONCLUSIONS 

This study used digital devices to demonstrate realistic benefits of toric contact lens designs for astigmatic patients..


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  • Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.

    Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.


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    He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.

    It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.

    Dr. McBryar , Kristen and John  are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!


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